--- title: 'Commercial Health Call Center Representative- Remote at Evry Health' canonical: 'https://feeny.ai/job/commercial-health-call-center-representative-remote-evry-health-remote-08r650gsngyv' type: 'job' last_seen: '2026-09-26' --- # Commercial Health Call Center Representative- Remote at Evry Health - **Company:** Evry Health - **Location:** Remote - **Compensation:** $55k - **Employment:** full-time - **Work type:** remote - **Posted:** 2026-09-25 - **Last confirmed live:** 2026-09-26 - **Apply:** https://jobs.lever.co/evry-health/11abc0bd-b67d-4763-a54b-0b47c0c1f298 ## Job description ## Role Summary The Customer Service Representative is Evry Health's primary point of human contact for members and providers, serving as the face and voice of the company's commitment to accessible, accurate, and empathetic health insurance support. This role manages inbound and outbound calls and email inquiries with professionalism and care — delivering accurate, thorough information on commercial health plan benefits, eligibility, claims, and billing to ensure every member and provider interaction reflects Evry Health's mission of bringing humanity to health insurance. At least two years of experience in customer service supporting a commercial health plan (not just Medicare, Medicaid, or Pharmacy) is required. Eligible candidates also must live in/work from the United States in either the CST or EST time zone. ## About Evry Health and Globe Life We are on a mission to bring humanity to health insurance. Our high-technology health plans expand benefits, increase access and transparency, and feature a personalized, human approach. We strive to ensure members live happier, healthier lives. Evry Health is the major medical division of Globe Life (NYSE:GL). Globe Life has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents. For more than 45 consecutive years, Globe Life has earned an A (Excellent) rating or higher from A.M. Best Company. Roles and Responsibilities - Member & Provider Inquiry Resolution: Researches, reviews, and responds to inbound and outbound member and provider inquiries, using knowledge of benefits, eligibility, claims, and billing to resolve issues at first contact when possible. Meets all turnaround times and department metrics, including quality, AHT, ASA, schedule adherence, etc. - Benefits, Eligibility & Claims Explanation: Accurately interprets and explains plan benefits, eligibility, cost-sharing, and claims payment decisions, applying working knowledge of CPT, ICD-10, HCPCS, and Revenue Codes.  Provides support to providers which includes claim status, prior authorization requirements, payment details. Supports pharmacy and wellness vendor inquiries. - Escalation: Owns initial intake and documentation of escalated member and provider situations - Cross-Functional Collaboration & Documentation: Collaborates with Claims, Medical Management, and other internal teams to resolve complex issues, and accurately documents every interaction in the designated CRM system. - Trend Recognition & Member Portal Support: Monitors personal call/inquiry patterns to surface trends to leadership and assists members with portal navigation while promoting long-term digital self-sufficiency. ## Qualifications Required - High school diploma or equivalent required - 2+ years of customer service experience supporting commercial fully insured health plan business - Working knowledge of commercial health plan benefits, eligibility & claims processes - Demonstrated knowledge of CPT, ICD-10, HCPCS & Revenue Codes; Microsoft 365 proficiency required Pereferred - Associate's or Bachelor's degree in business, healthcare, or related field - Experience supporting Claims, Medical Management, and/or Appeals and Grievance functions - Proficiency with Salesforce or a comparable CRM system - Experience identifying/reporting call trends or serving in an informal team lead/quality capacity Telecommuting Requirements - This is a remote position. Our whole company works remotely. Company headquarters are in Dallas, Texas. - Company business hours are weekdays 9-5 CST. We will only consider candidates in the United States who reside in the CST or EST time zones. - Required to have a dedicated work area established that is separate from other living areas and provides information privacy. - Ability to keep all company sensitive documents secure. - Must live in a location that receives an existing high-speed internet connection/service. ## Benefits Package - Competitive salary - Comprehensive health, dental, and vision insurance as well as life and disability - Retirement savings plan with company match - Generous time off/vacation - Professional development opportunities - Flexible and remote work environment ## About Evry Health ## Company Overview - **One-liner**: Evry Health provides health insurance solutions for mid-sized businesses, aiming to lower premiums by 20% while improving care quality. - **Entity Type**: Private (Acquired by Globe Life in October 2023) - **Headquarters**: Dallas, Texas, United States - **Founded**: 2017 - **Founders**: Chris Gay (CEO), Jay Startz (COO), Mark Jamilkowski (Chief Actuary) ## Core Business - **Primary industry**: Health Insurance (Insurtech) - **Target customers**: B2B – mid-sized companies (employer-sponsored health plans) - **Mission or purpose**: "Better health insurance for mid-size companies that costs 20% less and provides more effective medical care." [ycombinator.com](https://www.ycombinator.com/companies/evry-health) ## Products & Services - **EPO (Exclusive Provider Organization)**: A large group fully insured health plan designed for mobile workforces, including virtual care, pre-authorization, and notifications/admissions. [cbinsights.com](https://www.cbinsights.com/company/evry-health) - **Virtual Care Program**: Partnerships (e.g., Color Health) to expand access to virtual cancer care and other telehealth services. - **Member App & Portal**: Integrated application for members to manage claims, find providers, and access care. ## Market Standing - **Valuation/Market Cap**: Not disclosed (acquired by Globe Life, terms not public) - **Key Metric**: Annual Revenue of $5M (as of latest data) [linkedin.com](https://linkedin.com/company/evryhealth) - **Total Funding**: $7.5M (Seed round led by Y Combinator in 2018, Venture round in 2021) [linkedin.com](https://linkedin.com/company/evryhealth) - **Notable Investors/Partners**: Y Combinator (Winter 2018 batch), Globe Life (acquirer), Color Health (partner) - **Growth Signals**: 85% YoY headcount growth (44 employees), 7 active job postings, 600% quarterly increase in job postings. [linkedin.com](https://linkedin.com/company/evryhealth) ## Competitive Advantages - **Founder expertise**: CEO Chris Gay previously founded MileMeter Insurance (invented per-mile auto insurance) and built a full P&C insurance software stack. - **Y Combinator backing**: Early validation and network from a top accelerator. - **Post-acquisition stability**: Backed by Globe Life (a major insurance group) provides resources and market access. - **Differentiated model**: Focus on lowering costs 20% while improving outcomes through integrated virtual care and data-driven underwriting. ## Strategic Focus - **Post-acquisition integration**: Merging into Globe Life’s portfolio while maintaining brand and tech stack. - **Expanding virtual care**: Partnerships like Color Health to enhance cancer care and other specialty services. - **Technology investment**: Modern tech stack (React, Node, Azure, Kubernetes, OpenAI, etc.) to automate claims, underwriting, and member experience. - **Talent acquisition**: Actively hiring for engineering, AI, underwriting, and medical director roles to scale operations. ## Why Work Here - **Remote-first culture**: Many roles (e.g., Sr. Software Engineer, Commercial Underwriter) are fully remote. [jobs.lever.co](https://jobs.lever.co/evry-health) - **Competitive benefits**: Health insurance, 401(k) matching, flexible vacation. [evryhealth.com](https://www.evryhealth.com/careers) - **Growth opportunity**: Rapidly scaling team (85% YoY headcount increase) with roles across engineering, AI, and healthcare operations. - **Engineering culture**: Modern stack (React, Node, TypeScript, Azure, Kubernetes, GraphQL, PostgreSQL, Redis, OpenAI) and emphasis on AI solutions. - **Mission-driven**: Opportunity to directly improve healthcare affordability and quality for mid-size businesses. ## Sources 1. [linkedin.com](https://linkedin.com/company/evryhealth) 2. [cbinsights.com](https://www.cbinsights.com/company/evry-health) 3. [ycombinator.com](https://www.ycombinator.com/companies/evry-health) 4. [evryhealth.com](https://www.evryhealth.com/careers) 5. [jobs.lever.co](https://jobs.lever.co/evry-health) ## Other roles at Evry Health - [Bilingual Commercial Health Call Center Representative (Spanish)](https://feeny.ai/job/bilingual-commercial-health-call-center-representative-spanish-evry-health-4zed6d4kf8zt) - [Senior Software Engineer (Node)](https://feeny.ai/job/senior-software-engineer-node-evry-health-remote-4c45pv4aen7w) - [Director of Regulatory Compliance- Large Group Health Insurance](https://feeny.ai/job/director-of-regulatory-compliance-large-group-health-insurance-evry-health-9cxw51m6epbt)